Evaluation of pancreatitis and its complications by ultrasound and computed tomography

Journal Title: INTERNATIONAL JOURNAL OF CURRENT RESEARCH - Year 2016, Vol 8, Issue 5

Abstract

Objective: To know the role of USG and CT in pancreatitis, compare the findings of USG with CT, correlate USG and CT findings with biochemical parameters, evaluate the occurrence of complications, and predict the outcome of patients with pancreatitis Materials and Methods: Ultrasound and CT (plain and contrast) evaluation was done in 55 patients clinically suspected of pancreatitis of all age groups and both sexes. The Ultrasound and CT findings were compared and correlated with the biochemical parameters. Cases are evaluated for the occurrence and complications & outcome .Discrepancies found between ultrasonographic and CT findings were analysed. Results: 55 cases were studied and they were subjected to USG and CT (plain and contrast). Most of the patients were males with male to female ratio 13:1. Most common etiology was chronic alcohol consumption (42 cases, 76.33%) followed by idiopathic (11 cases, 20%) and trauma (2 cases, 3.66%). Multiple sites of involvement (35 cases, 63.65%) was more common than focal involvement of pancreas. Severe form of pancreatitis (37 cases, 67.27%) was the most common type according to MCTSI. The most common complication was ascites (36 cases, 65.45%) followed by pseudocyst (31 cases, 56.36%) and pleural effusion (16 cases, 29.09%). Conclusion: The sensitivity of USG in detecting acute pancreatitis was 41.8% .The sensitivity of CT (pain and contrast) in detecting pancreatitis was 100%.Modified CT severity index shows significant correlation between severity of pancreatitis and patient outcome. Serum lipase is more accurate in detecting acute pancreatitis than serum amylase. Thus, from the present study it can be concluded that CT (plain and contrast) is superior in detecting and evaluating pancreatitis. Hence, CT (plain and contrast) should be performed in all cases of clinically suspected pancreatitis especially with positive serological findings.

Authors and Affiliations

Dr. Ragidi Raju, Dr. Bathineni Haritha, Dr. Balagoni Swetha Goud, Dr. H. R. Nagrale, Dr. Veeraswamy and Dr. Gonegandla Aejaz Ahmed

Keywords

Related Articles

Diversity Of Am Fungi In Salt Marsh Plants Of South East Coast Of Chinamanai Tamil Nadu, India And Site Soil Parameters Study

In this investigation the percentage of root colonization and spore density of Vesicular Arbuscular Mycorrhizae in dominant vegetation of eighteen salt marsh plants and physic-chemical parameters of rhizophere soil were...

Infected radicular cyst in primary tooth

Radicular cyst associated with primary teeth is a rare condition. This report presents a case of radicular cyst associated with primary tooth which had deep carious lesion involving the pulp and untreated for long durati...

Influence of smoking in clinical presentation of periodontal disease in patients with other cardiovascular risk factors

Objective: The aim of the current study was to investigate the influence of smoking in the clinical presentation of periodontal disease (PD) in patients with other cardiovascular risk factors. Methods: Patients and cont...

Orthodontic Emergencies- A Review

Today orthodontic treatment is in growing demand and it is not limited to a specific age or social group. The nature of orthodontic treatment is such that the orthodontic wires and appliances, which are used to apply for...

Laparoscopy In The Diagnosis Of Chronic Pelvic Pain In Women

Introduction: Laparoscopy because of its availability and safety provides a valuable tool in the evaluation of undiagnosed chronic pelvic pain. It is a simple and definitive means of establishing the presence or absence...

Download PDF file
  • EP ID EP404958
  • DOI -
  • Views 81
  • Downloads 0

How To Cite

Dr. Ragidi Raju, Dr. Bathineni Haritha, Dr. Balagoni Swetha Goud, Dr. H. R. Nagrale, Dr. Veeraswamy and Dr. Gonegandla Aejaz Ahmed (2016). Evaluation of pancreatitis and its complications by ultrasound and computed tomography. INTERNATIONAL JOURNAL OF CURRENT RESEARCH, 8(5), 30507-30513. https://europub.co.uk/articles/-A-404958